Jill Hanson
Minneapolis,MN
Summary
Detail-oriented Utilization Review/Case Management Registered Nurse with 6 years experience. Proven track record in collaborating with providers to ensure medical necessity criteria is met prior to placing bed requests for admission. Provides real time discussion with providers to enhance documentation for better reimbursement from payors. Professional discussion and planning for patients that do not meet medical necessity. Aiming to contribute expertise within a forward-thinking organization that values precision and quality.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Registered Nurse Clinical Coordinator/Utilization Review Nurse
Hennepin Healthcare
Minneapolis, MN
01.2019 - Current
- Collaborate with providers to enhance clinical documentation to supporting admission for those whom meet medical necessity
- Open discussion and planning for those who do not meet medical necessity
- Facilitate communication between payers and Physician Advisors
- Investigate denied claims related to the Restricted Recipient Program
- Interqual proficient | Electronic Health Record (EPIC) proficient
- Availity and Cloud Fax proficient
- Perform initial reviews, episode day one, concurrent, and retrospective reviews of inpatient and outpatient services.
- Collaborate with medical professionals to coordinate complex patient plans of care
- Collaborate with healthcare team to improve care quality, reduce costs and reduce readmissions
Registered Nurse, Emergency Department
Hennepin Healthcare
Minneapolis, MN
01.2012 - 01.2019
- Maintained open and clear communication with physicians to coordinate effective patient care.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Administered critical IV medications to stabilize patients for assessment and treatment.
- Performed comprehensive assessments of patients presenting with a wide range of acute conditions in a high-volume emergency department.
- Identified potential risks or complications during treatment processes and took appropriate corrective action.
Education
Bachelor of Science - Nursing
Minnesota State University
Moorhead, MN08-2011
Associate of Science - Nursing
Normandale Community College
Minneapolis, MN06-2008
Skills
- Effective Problem-Solving
- Remote Work Readiness
- Adaptable Problem-Solver
- Effective Task Prioritization
- Critical Analysis
- Effective Verbal Communication
- Skilled in Task Prioritization
- Data Organization
Certification
- Public Health Nurse (PHN)
- BLS for the Healthcare Provider
Accomplishments
- 2020 Finalist for the National Nurse of the Year Award
- 2022 Finalist for the Registered Nurse Daisy Award
Timeline
Registered Nurse Clinical Coordinator/Utilization Review Nurse
Hennepin Healthcare
01.2019 - Current
Registered Nurse, Emergency Department
Hennepin Healthcare
01.2012 - 01.2019
Bachelor of Science - Nursing
Minnesota State University
Associate of Science - Nursing
Normandale Community College
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